Paraplegia due to Spinal Cord Infarction After Lifting Heavy Objects

  • Lee, Sung-Ho (Department of Neurosurgery School of Medicine, Kyung-Hee University Medical Center) ;
  • Kim, Sung-Bum (Department of Neurosurgery School of Medicine, Kyung-Hee University Medical Center) ;
  • Choi, Seok-Geun (Department of Neurosurgery School of Medicine, Kyung-Hee University Medical Center) ;
  • Lim, Young-Jin (Department of Neurosurgery School of Medicine, Kyung-Hee University Medical Center)
  • 발행 : 2008.02.29

초록

Spinal cord infarction is uncommon and usually presents with sudden onset of motor and sensory disturbances. We report a case of a 64-year-old women without previous medical history, who presented with acute onset of paraplegia after lifting. However, radiologic examinations did not show any abnormal lesion in the spinal cord. And, cerebrospinal fluid studies also showed no remarkable findings. This case illustrates the cause of spontaneous paraplegia after lifting injury and we consider the presumptive cause of paraplegia as spinal cord infarction.

키워드

참고문헌

  1. Berg P, Kaufmann D, van Marrewijk CD, Buth J : Spinal cord ischemia after stent-graft treatment for infrarenal abdominal aortic aneurysms. Analysis of the Eurostar data base. Eur J Vasc Endovasc Surg 4 : 342-347, 2001
  2. Elksnis SM, Hogg JP, Cunningham ME : MR imaging of spontaneous spinal cord infarction. J Comput Assist Tomogr 15 : 228-232, 1991 https://doi.org/10.1097/00004728-199103000-00007
  3. Hundsberger T, Thomke F, Hopf HC, Fitzek C : Symmetrical infarction of the cervical spinal cord due to spontaneous bilateral vertebral artery dissection. Stroke 29 : 1742, 1998 https://doi.org/10.1161/01.STR.29.8.1742
  4. Jin SC, Cho DS, Song JH : Fatal Aortic Tumor Embolism Presenting as Acute Paraplegia. J Korean Neurosurg Soc 39 : 72-74, 2006
  5. Novy J, Carruzzo A, Maeder P, Bogousslavsky J : Spinal cord ischemia : clinical and imaging patterns, pathogenesis, and outcomes in 27 patients. Arch Neurol 63 : 1113-1120, 2006 https://doi.org/10.1001/archneur.63.8.1113
  6. Okuno S, Touho H, Ohnishi H, Karasawa J : Cervical infarction associated with vertebral artery occlusion due to spondylotic degeneration : case report. Acta Neurochir 140 : 981-985, 1998 https://doi.org/10.1007/s007010050202
  7. Pryse-Phillips W : Infarction of the medulla and cervical cord after fitness exercises. Stroke 20 : 292-294, 1989 https://doi.org/10.1161/01.STR.20.2.292
  8. Sandson TA, Friedman JH : Spinal cord infarction : report of 8 cases and review of the literature. Medicine 68 : 282-292, 1989 https://doi.org/10.1097/00005792-198909000-00003
  9. Suzuki K, Meguro K, Wada M : Anterior spinal artery syndrome associated with severe stenosis of the vertebral artery. Am J Neuroradiol 19 : 1353-1355, 1998
  10. Wenger M, Adam PJ, Alarcon F, Markwalder TM : Traumatic cervical instability associated with cord oedema and temporary quadriparesis. Spinal Cord 41 : 521-526, 2003 https://doi.org/10.1038/sj.sc.3101485